Table 6.

Facilitators, barriers, and suggestions for improvement according to head and neck surgeons (N = 6)

Interview topics	Themes
Facilitators of OncoQuest and the nurse consultation	- An enhanced insight into patients’ HRQOL - A signaling function for symptoms missed in follow-up consultations - Attention for a wide range of symptoms and concerns (including psychosocial issues) - The possibility to improve (timely) referral to supportive care tailored to individual patients’ needs - The opportunity to offer increased (profound) attention to patients - Offering patients the opportunity to have their story heard
Barriers of OncoQuest and the nurse consultation	- Not all patients have a need for OncoQuest (at each follow-up consultation) - The value of repeated use is not clear to patients - Using OncoQuest takes too much time according to their patients - The availability of OncoQuest outcomes during consultation is hampered due to difficulties to trace OncoQuest results at their computer screen - Patients use OncoQuest after the follow-up visit (due to logistic reasons) - A lack of feedback from the surgeon to the patient on the results of OncoQuest may lead to a decrease in patient’s motivation to use OncoQuest - Patients’ usage of OncoQuest after the follow-up visit to the surgeon (due to logistic reasons) leads to a lack of (accurate) feedback from the surgeon to the patient and to a possible delay in referral to supportive care - OncoQuest may address unsolvable problems (e.g. dry mouth, swallowing problems) possibly leading to a decrease in patients’ motivation to use OncoQuest - A lack of structural feedback to the surgeon from what is discussed during the nurse consultation
Suggestions for improvement of OncoQuest and the nurse consultation	- Provision of feedback to the physician within the electronic patient file (instead of via a standalone application) - The provision of extra reminders for physicians during consultation hours so they remember to discuss patients’ results - Enhanced accessibility of OncoQuest for patients (e.g., ability for patients to access OncoQuest online from home)